RT Book, Section
A1 South-Paul, Jeannette E.
A1 Talabi, Mehret Birru
A2 South-Paul, Jeannette E.
A2 Matheny, Samuel C.
A2 Lewis, Evelyn L.
SR Print(0)
ID 1173715331
T1 Osteoporosis
T2 CURRENT Diagnosis & Treatment: Family Medicine, 5e
YR 2020
FD 2020
PB McGraw Hill
PP New York, NY
SN 9781260134896
LK accessmedicine.mhmedical.com/content.aspx?aid=1173715331
RD 2024/04/18
AB Osteoporosis  is  a  public  health  problem  affecting  >40  million  people,  one-third  of  postmenopausal  women,  and  a  substantial  portion  of  the  elderly  in  the  United  States  and  almost  as  many  in  Europe  and  Japan.  An  additional  54%  of  postmenopausal  women  have  low  bone  density  measured  at  the  hip,  spine,  or  wrist.  Osteoporosis  results  in  approximately  1,500,000  fractures  annually  in  women  in  the  United  States  alone  and  is  a  significant  cause  of  fractures  in  men  as  well.  The  overall  incidence  of  hip  fracture  in  the  United  States  increased  from  1986  to  1995  and  then  steadily  declined  from  1995  to  2012,  but  it  has  now  plateaued  at  higher  levels  than  predicted  for  the  years  2013  to  2015.  At  least  90%  of  all  hip  and  spine  fractures  among  elderly  women  are  a  consequence  of  osteoporosis.  The  direct  expenditures  for  osteoporotic  fractures  have  increased  during  the  past  decade  from  $5  billion  to  almost  $15  billion  per  year.  The  number  of  women  experiencing  osteoporotic  fractures  annually  exceeds  the  number  diagnosed  with  heart  attack,  stroke,  and  breast  cancer  combined.  Thus,  family  physicians  and  other  primary  care  clinicians  (1)  will  frequently  care  for  patients  with  subclinical  osteoporosis,  (2)  should  recognize  the  implications  of  those  who  present  with  osteoporosis-related  fractures,  and  (3)  must  determine  when  to  implement  prevention  for  younger  people.